Visoth Chan, DPM | |
26732 Crown Valley Pkwy, Suite 317, Mission Viejo, CA 92691-6306 | |
(949) 364-2525 | |
(949) 364-3322 |
Full Name | Visoth Chan |
---|---|
Gender | Female |
Speciality | Podiatry |
Experience | 14 Years |
Location | 26732 Crown Valley Pkwy, Mission Viejo, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669716791 | NPI | - | NPPES |
HI205Z | Other | CA | PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | E5026 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Visoth Chan Dpm Inc | 6002230901 | 3 |
Provider Name | Visoth Chan Dpm Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1134781206 PECOS PAC ID: 6002230901 Enrollment ID: O20200724001877 |
Mailing Address | Practice Location Address |
---|---|
Visoth Chan, DPM 1725 E Jackson St, Long Beach, CA 90805-6221 Ph: () - | Visoth Chan, DPM 26732 Crown Valley Pkwy, Suite 317, Mission Viejo, CA 92691-6306 Ph: (949) 364-2525 |
Matt Ahmadi, Dpm, Inc. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 26800 Crown Valley Pkwy, Suite 320, Mission Viejo, CA 92691 Phone: 949-276-8900 Fax: 949-276-8901 | |
Jill R. Berlin, Dpm Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 26912 Carranza Dr, Mission Viejo, CA 92691 Phone: 949-581-2944 Fax: 949-768-2647 | |
Visoth Chan, D.p.m., Inc. Podiatrist Medicare: Medicare Enrolled Practice Location: 26732 Crown Valley Pkwy Ste 317, Mission Viejo, CA 92691 Phone: 949-364-2525 Fax: 949-364-3322 | |
Artisan Foot And Ankle Podiatric Specialists Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 26691 Plaza Ste 201, Mission Viejo, CA 92691 Phone: 949-272-0007 Fax: 949-272-0006 | |
Dr. Victor V Cachia, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 26732 Crown Valley Pkwy, 317, Mission Viejo, CA 92691 Phone: 949-364-2525 Fax: 949-364-3322 | |
Sam Nosrati, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 26800 Crown Valley Pkwy Ste 420, Mission Viejo, CA 92691 Phone: 949-272-0007 Fax: 949-272-0006 | |
Kyle Hehe, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 26800 Crown Valley Pkwy Ste 420, Mission Viejo, CA 92691 Phone: 949-272-0007 Fax: 949-272-0006 |